Evidence map›Paper›PMID 35122887›Full record

Observational studyThe Journal of hospital infection2022

Hand hygiene behaviours monitored by an electronic system in the intensive care unit - a prospective observational study.

Q Xu, Y Liu, D Cepulis, A Jerde, R A Sheppard, W Reichle, L Scott, L Oppy, G Stevenson, S Bishop and 4 more

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in The Journal of hospital infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03948672 (CleanHands Sensor Based System to Improve Hand Hygiene and Reduce Infection Trial), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03948672 nacompletednot on this map

CleanHands Sensor Based System to Improve Hand Hygiene and Reduce Infection Trial

TypeinterventionalSponsorMicrosensor Labs LLCRan2020 to 2022Enrolled44ConditionsHand Hygiene, InfectionArmsCleanHands System
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Q XuDepartment of Bioinformatics and Biostatistics, School of Public Health and Information Sciences, University of Louisville, Louisville, KY, USA.
Y LiuMicrosensor Labs, LLC, Chicago, IL, USA.
D CepulisMicrosensor Labs, LLC, Chicago, IL, USA.
A JerdeClinical Trials Unit, University of Louisville, Louisville, KY, USA.
R A SheppardClinical Trials Unit, University of Louisville, Louisville, KY, USA.
W ReichleUniversity of Louisville Health, Louisville, KY, USA.
L ScottDepartment of Infection Control and Prevention, University of Louisville Health, Louisville, KY, USA.
L OppyDepartment of Infection Control and Prevention, University of Louisville Health, Louisville, KY, USA.
G StevensonDepartment of Infection Control and Prevention, University of Louisville Health, Louisville, KY, USA.
S BishopDivision of Infectious Diseases, Center of Excellence for Research in Infectious Diseases, Department of Medicine, University of Louisville, Louisville, KY, USA.
S P CliffordDepartment of Anesthesiology and Perioperative Medicine, School of Medicine, University of Louisville, Louisville, KY, USA.
P LiuMicrosensor Labs, LLC, Chicago, IL, USA.
M KongDepartment of Bioinformatics and Biostatistics, School of Public Health and Information Sciences, University of Louisville, Louisville, KY, USA. Electronic address: maiying.kong@louisville.edu.
J HuangDivision of Infectious Diseases, Center of Excellence for Research in Infectious Diseases, Department of Medicine, University of Louisville, Louisville, KY, USA; Department of Anesthesiology and Perioperative Medicine, School of Medicine, University of Louisville, Louisville, KY, USA; Department of Cardiovascular and Thoracic Surgery, School of Medicine, University of Louisville, Louisville, KY, USA; Center for Integrative Environmental Health Sciences, University of Louisville, Louisville, KY, USA; Department of Pharmacology and Toxicology, School of Medicine, University of Louisville, Louisville, KY, USA. Electronic address: jiapeng.huang@louisville.edu.

Funding

A wearable sensor system for hand hygiene compliance trackingR44AG060848 · NIA · MICROSENSOR LABS, LLC · PI LIU, PENG PAUL · 2018 to 2020
$1.7M
A Sensor-based Platform for Hand Hygiene Tracking and AnalysisR43NR017372 · NINR · MICROSENSOR LABS, LLC · PI LIU, PENG PAUL · 2018 to 2018
$225k
NIA NIH HHS R44 AG060848NINR NIH HHS R43 NR017372
6 · The paper itself

Abstract

backgroundIt is difficult to improve compliance with hand hygiene (HH), and underlying behaviours are not clearly understood among healthcare workers.

aimTo study HH behaviours among healthcare workers.

methodsThis was a prospective observational study. A Sanibit electronic HH system was installed in a 10-bed surgical intensive care unit (ICU) that detected HH opportunities automatically when healthcare workers entered or exited a patient room, and tracked the HH compliance of healthcare workers. The HH compliance rate and patient contact time were calculated and analysed at both ICU level and individual level over time.

findingsIn total, 27,692 HH opportunities were recorded over this 6-month trial period. The HH compliance rate was significantly higher when healthcare workers exited patient rooms than when they entered patient rooms (37.3% vs 26.1%; P<0.001). Full, partial and total HH compliance rates of 'quick in and quick out' (in room for <3 s) events were significantly lower than those of 'long in and long out' (in room for >30 s) events (23.45% vs 32.77%, 21.44% vs 35.03% and 44.88% vs 67.81%, respectively; P<0.001). There were also significant differences in HH compliance between individual healthcare workers (P<0.001). No significant differences in overall HH compliance rate and patient contact time were found between hours of the day or days of the week, except partial HH compliance rates.

conclusionPatterns of HH behaviours among healthcare workers are complex and variable, which could facilitate targeted and personalized interventions to improve HH compliance. CLINICAL

trial registrationNCT03948672.

Indexed as

Cross InfectionHand HygieneElectronicsGuideline AdherenceHealth PersonnelHumansInfection ControlIntensive Care UnitsBehavioursComplianceElectronic monitoringHand hygieneHospital acquiredInfection controlInfection prevention

Identifiers

PMID35122887
PMCPMC9113830

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.